Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

Event Roster Begin Date Pop Up
Item #:

EVBEGMM
Cheshire Name:

Field Type:

Type Name:

Answers Allowed:

Drop Down List:

Lookup File:

Lookup File Name:

EVB1005

EVNT.EVBEGMM
Integer
TMonthInt
1
No
No

Number Label
1 [Continuous answer.]
Attribute
Don't know

Route
EventRosterB - EVBEGDD ( EVB1010 )

Refusal

EventRosterB - EVBEGDD ( EVB1010 )

9:02:53 AM Thursday, December 20, 2007

FieldSize:
Min Value:
Max Value:
Mask:

2
01
12

Route
EventRosterB - EVBEGDD ( EVB1010 )

Page 1 of 3

Event Roster Begin Date Pop Up
Item #:

EVBEGDD
Cheshire Name:

Field Type:

Type Name:

Answers Allowed:

Drop Down List:

Lookup File:

Lookup File Name:

EVB1010

EVNT.EVBEGDD
Integer
TDayDKRF
1
No
No

Number Label
1 [Continuous answer.]
Attribute
Don't know

Route
EventRosterB - EVBEGYY ( EVB1015 )

Refusal

EventRosterB - EVBEGYY ( EVB1015 )

9:02:55 AM Thursday, December 20, 2007

FieldSize:
Min Value:
Max Value:
Mask:

2
1
31

Route
EventRosterB - EVBEGYY ( EVB1015 )

Page 2 of 3

Event Roster Begin Date Pop Up
Item #:

EVBEGYY
Cheshire Name:

Field Type:

Type Name:

Answers Allowed:

Drop Down List:

Lookup File:

Lookup File Name:

EVB1015

EVNT.EVBEGYY
Integer
TYear2DKRF
1
No
No

Number Label
1 [Continuous answer.]

FieldSize:
Min Value:
Max Value:
Mask:

2
00
99

Route
Exit Pop-Up window.

Attribute
Don't know

Route
Exit Pop-Up window.

Refusal
Exit Pop-Up window.

9:02:55 AM Thursday, December 20, 2007

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